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Rama Balaraman, MD

Medical Oncology · Ocala, FLNPI 1396709424

Payments from drug & device makers

$7,341,613in general payments, 2019–2025

Across 1,347 payments — averaging $5450.34 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.

  • Novartis$5.4M
  • E.r. Squibb & Sons, L.L.C.$507K
  • Merck$438K
  • Genmab U.S., Inc.$358K
  • Beigene, Ltd.$224K
  • AstraZeneca$117K
  • plus $339K from 54 others
$2,746in research payments, 2019–2025

Across 8 payments — averaging $343.28 each. Payments tied to a research study. These frequently flow through the physician to a hospital or research institution rather than to the physician personally.

  • Novartis$1K
  • AbbVie$1K
  • GSK$308

What the payments were for

  • Consulting fees$55,58258%
  • Speaking & faculty fees$4,5605%
  • Travel & lodging$8,0418%
  • Food & beverage$24,08725%
  • Education$1,2761%
  • Gifts$1000%
  • Other$1,5152%

General payments by program year

19
20
21
22
23
24
25

Who reported the general payments

Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.

CompanyPaymentsTotal
Novartis123$5,357,550
E.r. Squibb & Sons, L.L.C.84$506,775
Merck44$437,576
Genmab U.S., Inc.20$357,919
Beigene, Ltd.55$224,302
AstraZeneca(2 entities)78$116,819
Beone Medicines Ltd.20$89,158
AbbVie15$67,543
Gilead(2 entities)43$40,022
GSK25$31,447
Mirati Therapeutics, Inc.7$26,317
Amgen(2 entities)43$24,610
Genentech, Inc.5$8,298
Pfizer65$8,059
Foundation Medicine, Inc.9$5,379
Boehringer Ingelheim11$5,004
Beigene USA, Inc.16$3,482
Pharmacosmos Therapeutics Inc.12$3,216
Genentech USA, Inc.52$3,053
Astellas Pharma US Inc32$2,653
Fresenius Kabi USA, LLC1$2,550
Lilly USA, LLC45$2,403
Ipsen Biopharmaceuticals, Inc7$1,942
G1 Therapeutics, Inc.5$1,577
Morphosys, US Inc.6$1,554
Johnson & Johnson64$1,304
Seagen Inc.40$915
Eisai Inc.40$762
Daiichi Sankyo Inc.39$671
Bristol Myers Squibb23$618
Rigel Pharmaceuticals, Inc.9$544
Incyte Corporation22$540
Jazz Pharmaceuticals Inc.19$468
Celltrion USA Inc.1$449
Puma Biotechnology, Inc.11$336
Sanofi17$322
Bayer15$317
Takeda Pharmaceuticals U.S.A., Inc.12$285
Pharmacyclics LLC, An Abbvie Company14$258
Regeneron Healthcare Solutions, Inc.10$248
Octapharma USA, Inc.5$246
Taiho Oncology, Inc.9$225
Array Biopharma Inc10$198
Heron Therapeutics, Inc.15$185
Coherus Oncology, Inc.7$172
Novocure Inc.5$156
Karyopharm Therapeutics Inc.8$141
EMD Serono, Inc.8$136
Beone Medicines USA, Inc.6$132
Kyowa Kirin, Inc.8$129
Tersera Therapeutics LLC7$128
Dova Pharmaceuticals2$128
Sun Pharmaceutical Industries Inc.5$126
Servier Pharmaceuticals LLC7$126
Sobi, Inc5$126
Stryker1$125
Agios Pharmaceuticals, Inc.7$123
Apellis Pharmaceuticals, Inc.5$122
Caris MPI, Inc.2$111
TG Therapeutics, Inc.3$110

What the payments were tied to

Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.

How this compares

$7,341,613 in reported general payments places this provider in the 95th percentile of 507 medical oncology providers in Florida.

See all medical oncology providers in Florida

Medicare billing

Part B allowed, 2024
$4,192,571
Medicare patients
976
Services billed
234,561

What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.

Most prescribed under Part D

DrugClaimsCost to plans & patients
JakafiRuxolitinib Phosphate18$303,195
BesremiRopeginterferon Alfa-2b-Njft14$208,369
BrukinsaZanubrutinib14$203,139
LynparzaOlaparib15$196,620
Lenalidomide14$181,218
VenclextaVenetoclax12$151,489
Abiraterone Acetate46$93,453
EliquisApixaban15$13,227
Letrozole124$3,639
Morphine Sulfate ErMorphine Sulfate30$3,361
Anagrelide Hcl30$1,868
Anastrozole109$1,769
Oxycodone Hcl51$1,113
Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen36$902
Tamoxifen Citrate24$871

Paid to pharmacies, not to this prescriber.

Companies that both paid and supply prescribed drugs

These companies both reported payments to this provider and make drugs the provider prescribed under Medicare Part D in 2024. For most specialties this overlap is expected — a cardiologist who is paid by a cardiology drugmaker also treats heart disease. It is shown so the reader can see it, not because it implies anything on its own.

CompanyPaid to this providerPart D cost of their drugs
Incyte CorporationJakafi$540$303,19518 claims
Beigene USA, Inc.Brukinsa$3,482$203,13914 claims
AstraZenecaLynparza$116,819$196,62015 claims
AbbVieVenclexta$67,543$151,48912 claims
PfizerEliquis$8,059$13,22715 claims
Lilly USA, LLCOlanzapine$2,403$9918 claims

Reading this fairly. The Part D column is what drug plans and patients paid pharmacies — this provider received none of it, and it reflects how many patients they treat and what those drugs cost. Against peers, this provider's reported payments sit in the 95th percentile of 507 medical oncology providers in Florida.

Other medical oncology in Ocala

See the full list for Florida

Where these figures come from

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